A 60-year-old man is receiving care for cirrhosis on a medical unit. The nurse who is planning his care recognizes the risks of fluid imbalances that accompany this health problem
Scheduled assessments of this patient's fluid balance should include:
A) Daily weights and abdominal girth measurements
B) Asking the patient to track his food intake and estimated sodium intake
C) Assessing the patient's skin turgor and skin tone each morning
D) Frequent blood pressure (BP) monitoring and sputum analysis
A
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As a component of the family assessment, the family assists the nurse in developing an ecomap. Prior to beginning the ecomap, the nurse explains that the ecomap:
1. Provides information about the family structure including family life events, health, and illness. 2. Illustrates family relationships and interactions with community activities including school, parental jobs, and children's activities. 3. Is a short questionnaire of five questions that measures family growth, affection, and resolve. 4. Is a family assessment that consists of three categories of information about the family's strengths and problems.
Somatization describes
a. A group of disease symptoms that have no apparent cause b. A physical reaction to an emotional problem c. A symptom of hypochondria d. A physical problem that causes emotional pain or depression
The nurse is caring for a client being treated for diarrhea. Why should the nurse instruct the client to avoid drinking with a straw?
A) It stimulates gastrointestinal (GI) motility. B) It causes excessive peristalsis. C) It increases the risk for infection. D) It increases gas and cramping.
How might nurses best perceive the American health care system?
A. A static, complex entity that the nurse must seek to understand B. Clearly the best in the world and envied by other countries C. Extremely effective, especially in high technology care D. In the midst of ongoing change that offers real opportunities